WO2003092609A3 - System and method of treating abnormal tissue in an organ having a layered tissue structure - Google Patents

System and method of treating abnormal tissue in an organ having a layered tissue structure Download PDF

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Publication number
WO2003092609A3
WO2003092609A3 PCT/US2003/013647 US0313647W WO03092609A3 WO 2003092609 A3 WO2003092609 A3 WO 2003092609A3 US 0313647 W US0313647 W US 0313647W WO 03092609 A3 WO03092609 A3 WO 03092609A3
Authority
WO
WIPO (PCT)
Prior art keywords
tissue
organ
treating abnormal
layered
delivery device
Prior art date
Application number
PCT/US2003/013647
Other languages
French (fr)
Other versions
WO2003092609A2 (en
WO2003092609A9 (en
Inventor
Robert A Ganz
Brian D Zelickson
Roger A Stern
Original Assignee
Barrx Inc
Robert A Ganz
Brian D Zelickson
Roger A Stern
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US10/370,645 external-priority patent/US7530979B2/en
Application filed by Barrx Inc, Robert A Ganz, Brian D Zelickson, Roger A Stern filed Critical Barrx Inc
Priority to AU2003234332A priority Critical patent/AU2003234332A1/en
Publication of WO2003092609A2 publication Critical patent/WO2003092609A2/en
Publication of WO2003092609A3 publication Critical patent/WO2003092609A3/en
Publication of WO2003092609A9 publication Critical patent/WO2003092609A9/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00269—Type of minimally invasive operation endoscopic mucosal resection EMR
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00818—Treatment of the gastro-intestinal system
    • A61B2017/00827—Treatment of gastro-esophageal reflux
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/0022—Balloons
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00482—Digestive system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00553—Sphincter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577—Ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/00738—Depth, e.g. depth of ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00791—Temperature
    • A61B2018/00797—Temperature measured by multiple temperature sensors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B2018/1467—Probes or electrodes therefor using more than two electrodes on a single probe
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3925—Markers, e.g. radio-opaque or breast lesions markers ultrasonic

Abstract

A method and system are provided treating a tissue site of a ti ssue structure that has at least a first and second tissue plan e. An energy delivery device is provided. A barrier is created between the first and second tissue planes. At least a portion of an energy delivery device(10) is positioned at the tissue site. Sufficient energy is delivered from the energy delivery device to create cell necrosis of at least a portion of the first tissue plane.
PCT/US2003/013647 2002-04-30 2003-04-30 System and method of treating abnormal tissue in an organ having a layered tissue structure WO2003092609A2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU2003234332A AU2003234332A1 (en) 2002-04-30 2003-04-30 System and method of treating abnormal tissue in an organ having a layered tissue structure

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
US37733602P 2002-04-30 2002-04-30
US60/377,336 2002-04-30
US10/370,645 2003-02-19
US10/370,645 US7530979B2 (en) 1999-11-16 2003-02-19 Method of treating abnormal tissue in the human esophagus
US10/426,923 2003-04-29
US10/426,923 US20040087936A1 (en) 2000-11-16 2003-04-29 System and method for treating abnormal tissue in an organ having a layered tissue structure

Publications (3)

Publication Number Publication Date
WO2003092609A2 WO2003092609A2 (en) 2003-11-13
WO2003092609A3 true WO2003092609A3 (en) 2004-02-26
WO2003092609A9 WO2003092609A9 (en) 2005-01-13

Family

ID=31892067

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2003/013647 WO2003092609A2 (en) 2002-04-30 2003-04-30 System and method of treating abnormal tissue in an organ having a layered tissue structure

Country Status (3)

Country Link
US (1) US20040087936A1 (en)
AU (1) AU2003234332A1 (en)
WO (1) WO2003092609A2 (en)

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